February 7, 2025
Compliance Alert | CMS RxDC Submission Required
To comply with the legislation to report on pharmacy information under the Consolidated Appropriations Act, you are required to submit premium information to the Centers for Medicare & Medicaid Services (CMS) by June 1, 2025. You should be receiving an email or an online portal alert to ...
February 7, 2025
Compliance Recap | January 2025
January brought guidance on the management of taxes on state paid family and medical leave, and an update on the much-watched Johnson & Johnson fiduciary lawsuit. The Department of Health and Human Services provided the 2025 Federal Poverty Levels and FAQs clarify gag clause prohibitions ...
February 4, 2025
Dear HR Manager from Concerned Leader
Dear HR Manager, My team is increasingly having political discussions, and tensions are rising. How can I help my team navigate these conversations professionally? – Concerned Leader Dear Concerned Leader, Political discussions can be challenging, especially when they lead to division or ...
January 23, 2025
New ACA Reporting Rules
The Employer Reporting Improvement Act (ERIA), outlined in a recent Compliance Advisor, and the Paperwork Burden Reduction Act (PBRA) were signed into law by President Biden. Together, the new laws ease the burdens of furnishing copies of IRS Forms 1095-B and 1095-C to applicable individuals ...
January 23, 2025
Advocacy in Action | Recovering Claims Sent to Collections
A member had a preventative colonoscopy. All of his claims processed as preventative at 100% with the exception of the lab charges. The lab sent the member a bill for $730. The member contacted Purple Card for help. Our Patient Advocate reviewed the claims and then contacted the lab to make ...
January 22, 2025
Rising ERISA Class-Action Lawsuits Over Tobacco Surcharges in Health Plans
A wave of ERISA class-action lawsuits is challenging tobacco surcharge programs in employer-sponsored health plans across the U.S. These cases center on potential fiduciary breaches, with plaintiffs arguing that surcharges added to tobacco users’ premiums are not compliant with federal laws ...
January 21, 2025
Employee Benefits | Developing Effective Pulse Surveys
Organizations can use pulse surveys to ensure employee voices are heard regularly, leading to timely and practical improvements. These concise, frequent surveys provide a real-time snapshot of engagement, helping leaders make data-driven decisions that enhance workplace dynamics, culture, and ...
January 14, 2025
Compliance Alert | ACA Reporting Obligations, Deadlines & Updates
Do you have a plan for meeting your ACA Reporting obligation? At a time when IRS ACA penalties are increasing, paper filing is disappearing and submissions are getting more complex, the urgency for timely and compliant filing is more important than ever. ACA Reporting Services Do you have a ...
January 14, 2025
Workplace Culture | Creating a Culture of Feedback
Feedback is the cornerstone of personal and professional growth, yet many organizations struggle to make it a consistent and meaningful part of their culture. A lack of actionable, constructive feedback often leads to employee disengagement and stalled development. Building a culture where ...
January 7, 2025
Dear HR Manager from Growth Advocate
My team is ambitious, but my company does not offer tuition reimbursement. How can I support their career growth or open pathways to advance in the organization? – Growth Advocate Dear Growth Advocate, Supporting career growth without tuition reimbursement may seem challenging, but there are ...
